Provider Demographics
NPI:1881847804
Name:GHAHRAMANI, BEHNAM
Entity Type:Individual
Prefix:
First Name:BEHNAM
Middle Name:
Last Name:GHAHRAMANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 C. WEST FOOTHILL BLVD. #485
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711
Mailing Address - Country:US
Mailing Address - Phone:213-473-6158
Mailing Address - Fax:213-972-4004
Practice Address - Street 1:915 W FOOTHILL BLVD
Practice Address - Street 2:SUITE C # 485
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-3356
Practice Address - Country:US
Practice Address - Phone:213-473-6158
Practice Address - Fax:213-972-4004
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW200441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical